Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.73 / $24.73 / $24.73	Facility		$24.73	$24.73	$24.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $24.73 / $41.14	Professional		$24.73	$24.73	$41.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $49.74 / $49.74	Professional		$49.74	$49.74	$49.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $40.35 / $58.59	Professional		$32.00	$40.35	$58.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $34.54 / $38.13	Facility		$24.62	$34.54	$38.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $33.25 / $34.54	Professional		$25.21	$33.25	$34.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $40.00 / $86.81	Facility		$24.60	$40.00	$86.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $31.00 / $33.00	Professional		$31.00	$31.00	$33.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $37.35 / $37.35	Professional		$37.35	$37.35	$37.35
United Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $27.58 / $41.55	Professional		$21.04	$27.58	$41.55